Abstract
Background - Left ventricular assist devices (LVADs) are increasingly used as a bridge to cardiac transplantation or as destination therapy. Patients with LVADs are at high risk for ventricular arrhythmias. This study describes ventricular arrhythmia characteristics and ablation in patients implanted with a Heart Mate II device. Methods and Results - All patients with a Heart Mate II device who underwent ventricular arrhythmia catheter ablation at 9 tertiary centers were included. Thirty-four patients (30 male, age 58±10 years) underwent 39 ablation procedures. The underlying cardiomyopathy pathogenesis was ischemic in 21 and nonischemic in 13 patients with a mean left ventricular ejection fraction of 17%±5% before LVAD implantation. One hundred and ten ventricular tachycardias (VTs; cycle lengths, 230-740 ms, arrhythmic storm n=28) and 2 ventricular fibrillation triggers were targeted (25 transseptal, 14 retrograde aortic approaches). Nine patients required VT ablation
| Original language | English (US) |
|---|---|
| Pages (from-to) | 592-597 |
| Number of pages | 6 |
| Journal | Circulation: Arrhythmia and Electrophysiology |
| Volume | 8 |
| Issue number | 3 |
| DOIs | |
| State | Published - Jun 4 2015 |
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Keywords
- ablation
- ventricular arrhythmia
- ventricular assist device
- ventricular tachycardia
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Physiology (medical)
Cite this
Characteristics of Ventricular Tachycardia Ablation in Patients with Continuous Flow Left Ventricular Assist Devices. / Sacher, Frederic; Reichlin, Tobias; Zado, Erica S.; Field, Michael E.; Viles Gonzalez, Juan; Peichl, Petr; Ellenbogen, Kenneth A.; Maury, Philippe; Dukkipati, Srinivas R.; Picard, Francois; Kautzner, Josef; Barandon, Laurent; Koneru, Jayanthi N.; Ritter, Philippe; Mahida, Saagar; Calderon, Joachim; Derval, Nicolas; Denis, Arnaud; Cochet, Hubert; Shepard, Richard K.; Corre, Jerome; Coffey, James O.; Garcia, Fermin; Hocini, Meleze; Tedrow, Usha; Haissaguerre, Michel; D'Avila, Andre; Stevenson, William G.; Marchlinski, Francis E.; Jais, Pierre.
In: Circulation: Arrhythmia and Electrophysiology, Vol. 8, No. 3, 04.06.2015, p. 592-597.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Characteristics of Ventricular Tachycardia Ablation in Patients with Continuous Flow Left Ventricular Assist Devices
AU - Sacher, Frederic
AU - Reichlin, Tobias
AU - Zado, Erica S.
AU - Field, Michael E.
AU - Viles Gonzalez, Juan
AU - Peichl, Petr
AU - Ellenbogen, Kenneth A.
AU - Maury, Philippe
AU - Dukkipati, Srinivas R.
AU - Picard, Francois
AU - Kautzner, Josef
AU - Barandon, Laurent
AU - Koneru, Jayanthi N.
AU - Ritter, Philippe
AU - Mahida, Saagar
AU - Calderon, Joachim
AU - Derval, Nicolas
AU - Denis, Arnaud
AU - Cochet, Hubert
AU - Shepard, Richard K.
AU - Corre, Jerome
AU - Coffey, James O.
AU - Garcia, Fermin
AU - Hocini, Meleze
AU - Tedrow, Usha
AU - Haissaguerre, Michel
AU - D'Avila, Andre
AU - Stevenson, William G.
AU - Marchlinski, Francis E.
AU - Jais, Pierre
PY - 2015/6/4
Y1 - 2015/6/4
N2 - Background - Left ventricular assist devices (LVADs) are increasingly used as a bridge to cardiac transplantation or as destination therapy. Patients with LVADs are at high risk for ventricular arrhythmias. This study describes ventricular arrhythmia characteristics and ablation in patients implanted with a Heart Mate II device. Methods and Results - All patients with a Heart Mate II device who underwent ventricular arrhythmia catheter ablation at 9 tertiary centers were included. Thirty-four patients (30 male, age 58±10 years) underwent 39 ablation procedures. The underlying cardiomyopathy pathogenesis was ischemic in 21 and nonischemic in 13 patients with a mean left ventricular ejection fraction of 17%±5% before LVAD implantation. One hundred and ten ventricular tachycardias (VTs; cycle lengths, 230-740 ms, arrhythmic storm n=28) and 2 ventricular fibrillation triggers were targeted (25 transseptal, 14 retrograde aortic approaches). Nine patients required VT ablation
AB - Background - Left ventricular assist devices (LVADs) are increasingly used as a bridge to cardiac transplantation or as destination therapy. Patients with LVADs are at high risk for ventricular arrhythmias. This study describes ventricular arrhythmia characteristics and ablation in patients implanted with a Heart Mate II device. Methods and Results - All patients with a Heart Mate II device who underwent ventricular arrhythmia catheter ablation at 9 tertiary centers were included. Thirty-four patients (30 male, age 58±10 years) underwent 39 ablation procedures. The underlying cardiomyopathy pathogenesis was ischemic in 21 and nonischemic in 13 patients with a mean left ventricular ejection fraction of 17%±5% before LVAD implantation. One hundred and ten ventricular tachycardias (VTs; cycle lengths, 230-740 ms, arrhythmic storm n=28) and 2 ventricular fibrillation triggers were targeted (25 transseptal, 14 retrograde aortic approaches). Nine patients required VT ablation
KW - ablation
KW - ventricular arrhythmia
KW - ventricular assist device
KW - ventricular tachycardia
UR - http://www.scopus.com/inward/record.url?scp=84942856270&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84942856270&partnerID=8YFLogxK
U2 - 10.1161/CIRCEP.114.002394
DO - 10.1161/CIRCEP.114.002394
M3 - Article
C2 - 25870335
AN - SCOPUS:84942856270
VL - 8
SP - 592
EP - 597
JO - Circulation: Arrhythmia and Electrophysiology
JF - Circulation: Arrhythmia and Electrophysiology
SN - 1941-3149
IS - 3
ER -